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A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. | PSNet

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July 14, 2021 - Study A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. Citation Text: Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Envi…

COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network. | PSNet

psnet.ahrq.gov/issue/covid-19-increased-risk-icu-acquired-bloodstream-infections-case-cohort-study-multicentric

March 11, 2020 - Study COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network. Citation Text: Buetti N, Ruckly S, de Montmollin E, et al. COVID-19 increased the risk of ICU-acquired bloodstream infections: a case–cohort study from …

Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. | PSNet

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November 07, 2018 - Study Classic Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. Citation Text: Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and clinicia…

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-catheter-associated-urinary-tract-infection-cauti-prevention

February 07, 2022 - Review Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Citation Text: Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic revie…

Clinicians' assessments of electronic medication safety alerts in ambulatory care. | PSNet

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September 02, 2009 - Study Clinicians' assessments of electronic medication safety alerts in ambulatory care. Citation Text: Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/arch…

Surgical skill and complication rates after bariatric surgery. | PSNet

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August 02, 2015 - Study Classic Surgical skill and complication rates after bariatric surgery. Citation Text: Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet

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April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

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November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. | PSNet

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May 27, 2010 - Study Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. | PSNet

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June 08, 2022 - Study Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. Citation Text: Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …

A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. | PSNet

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October 16, 2013 - Study A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. Citation Text: de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. | PSNet

psnet.ahrq.gov/issue/policy-based-intervention-reduction-communication-breakdowns-inpatient-surgical-care-results

January 04, 2010 - Study A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. Citation Text: Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of communication…

Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. | PSNet

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March 18, 2020 - Study Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. Citation Text: Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic…

Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

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September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. | PSNet

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February 12, 2020 - Study Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. Citation Text: Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Saf…

Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet

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July 13, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…

Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? | PSNet

psnet.ahrq.gov/issue/chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery

December 16, 2011 - Study Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? Citation Text: Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief resident general surgery servic…

Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. | PSNet

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December 08, 2021 - Study Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. Citation Text: Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within s…

A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet

psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician

February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …

Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. | PSNet

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April 22, 2020 - Study Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Citation Text: Barber Doucet H, Ward VL, Johnson TJ, et al. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Clin Pediatr (Phila). …

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